Provider Demographics
NPI:1992822985
Name:BRITT, LLOYD PERRY (O D)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:PERRY
Last Name:BRITT
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-3144
Mailing Address - Country:US
Mailing Address - Phone:662-844-3436
Mailing Address - Fax:
Practice Address - Street 1:2270 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-3144
Practice Address - Country:US
Practice Address - Phone:662-844-3436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS510152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00880224Medicaid
MS820568262OtherEIN
MS820568262OtherEIN